Provider Demographics
NPI:1063203412
Name:JAMILZADA, PARWANA
Entity type:Individual
Prefix:
First Name:PARWANA
Middle Name:
Last Name:JAMILZADA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2506 N 63RD ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68104-4028
Mailing Address - Country:US
Mailing Address - Phone:402-320-5319
Mailing Address - Fax:
Practice Address - Street 1:5551 N 151ST ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68116-4558
Practice Address - Country:US
Practice Address - Phone:402-980-4481
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-15
Last Update Date:2025-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion